| NPI | 1659383966 |
|---|---|
| Former Name | JAYAPRADA NANDIPATI |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 207Q00000X Family Medicine (Licence: TX P7542) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: MN 45462) |
| Enumeration Date | 2006-08-13 |
| Last Update Date | 2015-06-11 |